Hospital simulator

HAC Penalty Simulator

HAC Penalty Simulator

FY2026 · counterfactual measure changes (partial-equilibrium)

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Counterfactual simulator

SPOTSYLVANIA REGIONAL MEDICAL CENTER

VA · Facility ID 490141 · FY2026

Total HAC Score

-0.3377

Percentile

29.8th

Displayed status

No reduction

From CMS Payment Reduction column (file).

Score vs threshold (0.3792) — simulated position

Score distributionThreshold 0.3792Hospital -0.3376

Hospital score -0.3376. Penalty threshold 0.3792. Distribution of 2929 scored hospitals.

Live result

Equal-weight mean of edited reported Z · threshold 0.3792(strict >) · simulated/illustrative

Simulated Total HAC

-0.3376

Δ from file score

+0.0001

File -0.3377

Not penalized (simulated)

Measure controls

Drag reported SIRs (PSI-90: Composite Value). Z updates live via the empirical map, clamped to each measure's floor/cap.

  • Composite Value 0.838Z file -1.053 → sim -1.053
    0.273.32
  • SIR 0.286Z file -0.743 → sim -0.743
    0.007.96
  • SIR 0.000Z file -1.319 → sim -1.319
    0.005.52

    No score impact — already at the measure floor.

  • SIR 0.923Z file 0.125 → sim 0.125
    0.004.79
  • SIR 0.052Z file -1.261 → sim -1.261
    0.003.32
  • SIR 2.246Z file 2.225 → sim 2.225
    0.004.41

    No score impact — already at the measure cap.

Solver

Smallest change to clear (or cushion before crossing) the 0.3792 threshold — holding other measures fixed. Simulated/illustrative.

Insufficient data to score — solver unavailable.